Active NPIIndividual providerSole proprietor

Kim Mcgillicuddy Maciaszek, OD

Optometrist in East Longmeadow, Massachusetts

NPI Number1871577254
Practice location
426 N Main St, East Longmeadow, MA 01028-1850
Fax
413-525-7667
Last updated
September 16, 2024

Kim Mcgillicuddy Maciaszek is an Optometrist based in East Longmeadow, MA. Kim Mcgillicuddy Maciaszek practices in East Longmeadow, MA and has the professional credentials of OD. The NPI Number for Kim Mcgillicuddy Maciaszek is 1871577254 and holds a License No. 3760 (MA). The current practice location address for Kim Mcgillicuddy Maciaszek is 426 N Main St, East Longmeadow, MA 01028-1850 and can be reached out via phone at 413-525-3010 and via fax at 413-525-7667.

Provider Profile Details

NPI Number
1871577254
Provider Name
Kim Mcgillicuddy Maciaszek
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
426 N Main St, East Longmeadow, MA 01028-1850
Phone Number
413-525-3010
Fax Number
413-525-7667
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2005
Last Update Date
September 16, 2024
Certification Date
September 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
426 N Main St
East Longmeadow, MA 01028-1850
Zip
01028-1850
Phone Number
413-525-3010
Fax Number
413-525-7667
East Longmeadow, MA 01028Get directions →

Provider Business Mailing Address Details

Address
8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
City
Vienna
State
VA
Zip
22182-2442
Phone Number
703-847-8899
Fax Number
571-223-6780

License Information

License Number
3760
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kim Mcgillicuddy Maciaszek, OD?

The NPI number of Kim Mcgillicuddy Maciaszek, OD is 1871577254. It was assigned on November 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Kim Mcgillicuddy Maciaszek, OD?

Kim Mcgillicuddy Maciaszek, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 3760.

Where does Kim Mcgillicuddy Maciaszek, OD practice?

The practice location is 426 N Main St, East Longmeadow, MA 01028-1850. The office can be reached at 413-525-3010 (phone) or 413-525-7667 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871577254 directly on the NPPES registry website.

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